MEDICARE: MR. EDUARDO VELASCO VALIDO AP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AP4321	FL

General Provider Information

NPI Number	:	1275078016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EDUARDO VELASCO VALIDO AP

Provider Business Mailing Address
First Line	:	800 E BROWARD BLVD STE 403
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2033
Country	:	US
Telephone Number	:	503-575-0568
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 E BROWARD BLVD STE 403
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2033
Country	:	US
Telephone Number	:	718-986-3079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2017
Last Update Date	:	06/08/2022

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